| NPI | 1578734620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CT 001989) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 001989) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2013-06-25 |